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Notes -
I believe the system as-designed has you sell everything until you qualify for Medicaid, at which point the state/feds should pay for almost all of the treatment. Now, Medicaid-accepting providers have a bit of a reputation for being, well, worse than other doctors (true also for Medicare, but less so because it pays out a bit more, IIRC), so the quality of care might drop. But it isn't supposed to be a death sentence there (in practice, I'm sure it happens).
While that's technically better than just dying, this is so fucking awful it's kind of funny to present this as an alternative.
"Hey man you're not dead, you're just destitute, sick, and are receiving the bare minimum amount of care we can get away with giving you. Have fun rebuilding from 0 once you're better, hope you aren't close to retirement!"
After typing that out, if you're north of ~50, might actually be more merciful to just not treat them and limit the suffering
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